| NPI | 1598073983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 313891) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2024-02-05 |